NPIMap

Organization Active NPI

State of New Jersey Omb Centralized Payroll

  • Skilled Nursing Facility
  • Paramus, NJ
National Provider Identifier
1972658508
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060228 Issued in NJ
Legal business name
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Practice address
1 Veterans Drive
Paramus, NJ 07652-4100
Phone
(201) 634-8212
Fax
(201) 967-8658
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel P Mathew
Title
Accountant
Phone
(201) 634-8515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060228 NJ Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

1 Veterans Drive
Paramus, NJ 07652-4100

Mailing address

1 Veterans Drive
Paramus, NJ 07652
Phone (201) 634-8510

Other names 1

  • New Jersey Veterans Memorial Home at Paramus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000659 NJ Part A Provider - Skilled Nursing Facility 6406742592 Practice locations: Paramus, NJ

Skilled nursing facility certification: CCN 315346

Legal name
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Doing business as
NEW JERSEY VETERANS MEMORIAL HOME AT PARAMUS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jun 22, 1995
Last certification
Apr 4, 2025
Beds
336
Ownership / control type
State
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1995 in NJ
Enrollment address
1 Veterans Dr
Paramus, NJ 07652-4100
Nursing home name
NEW JERSEY VETERANS MEMORIAL HOME AT PARAMUS

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
New Jersey Veterans Memorial Home at ParamusCCN 315346
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
Government - State
Certified
Jun 22, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
336206.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hunterdon Developmental22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Biko Hannibal Individual Corporate OfficerBusiness Manager Jul 1, 2020 30%
W-2 Managing Employee Jul 1, 2020
Timothy Doyle Individual Corporate OfficerCeo Jul 1, 2021 100%
W-2 Managing Employee Jul 1, 2021
State of New Jersey Omb Centralized Payroll Organization, Paramus, NJ Non-profit Operational/Managerial Control Jul 1, 1995
Other Jul 1, 1995
Saarndupe Kamanda Individual Corporate OfficerAssistant Abusiness Manager Jan 1, 2022 20%
W-2 Managing Employee Jan 1, 2022
Yolanda Collette Individual Corporate OfficerAceo May 1, 2022 50%
W-2 Managing Employee May 1, 2022

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 129

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 129

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1972658508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VETERANS DRIVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-634-8510",
            "fax_number": "201-967-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS DRIVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524100",
            "telephone_number": "201-634-8212",
            "fax_number": "201-967-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "201-634-8515"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060228",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Veterans Memorial Home at Paramus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Jersey Veterans Memorial Home at Paramus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.